Leiner M, Peinado J, Villanos MT, Uribe R, Pathak I

Language: English
References: 38
Page: 117-122
PDF size: 149.32 Kb.

ABSTRACT

Introduction The high prevalence of obesity among children of Mexican descent, living in either Mexico or the United States (US), might indicate they are at a higher risk when compared to other groups. Previous mental health studies have had conflicting outcomes, which may be the result of considering these children as a homogeneous group (by race or ethnicity) instead of considering intra-racial group disparities (e.g. socio- economic status, adversities).
Objective To compare the psychosocial profile by weight category (normal weight, overweight, or obese) of impoverished Mexican descendent children in a clinical setting.
Method The study design was cross sectional. Information was retrieved from medical records (N = 2237) that were obtained from five university- based clinics in a large metropolitan area on the US-Mexico border from May 2009 to August 2010.
Results Psychosocial and behavioral problems were present among this intra- racial group of Mexican-American children, with higher scores in the overweight and obese children than in the normal-weight children.
Discussion and conclusion Intra-racial differences among obese and overweight children could account for variation in results regarding the mental health of Mexican American children.
Considering intra-racial group disparities when providing healthcare may improve delivery and promote better mental and health outcomes because some groups may need more attention than others. In addition, considering these groups when designing studies, may improve the accuracy and precision of study result interpretations.

REFERENCES

1. Kit BK et al. Prevalence of and trends in dyslipidemia and blood pressure among US children and adolescents, 1999-2012. JAMA Pediatr 2015;169(3):272-279.

2. Nobili V et al. Nonalcoholic fatty liver disease: a challenge for pediatricians. JAMA Pediatr 2015;169(2):170-176.

3. Kaczorowski J. Chronic health conditions and obesity among children and youth. JAMA 2010;303(19):1915: author reply 1915:5-6.

4. Vincent HK et al. Outpatient rehabilitation outcomes in obese patients with orthopedic conditions. Eur J Phys Rehabil Med 2013;49(3):419-429.

5. Barquera Cervera S et al. Obesity in Mexico: epidemiology and health policies for its control and prevention. Gac Med Mex 2010;146(6):397- 407.

6. l’Allemand-Jander D. Clinical diagnosis of metabolic and cardiovascular risks in overweight children: early development of chronic diseases in the obese child. Int J Obes (Lond) 2010;34(Suppl 2):S32-S36.

7. Viner RM et al. Childhood body mass index (BMI), breastfeeding and risk of Type 1 diabetes: findings from a longitudinal national birth cohort. Diabet Med 2008;25(9):1056-1061.

8. Ogden CL et al. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA 2006;295(13):1549-1555.

9. Mier N et al. Bridging research and policy to address childhood obesity among border Hispanics: a pilot study. Am J Prev Med 2013;44 (Suppl 3):S208-S214.

10. Ogden CL et al. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA 2012;307(5):483- 490.

11. JP G et al. Encuesta nacional de salud y nutrición 2012. Resultados nacionales. Instituto Nacional de Salud Pública. Cuernavaca, México: 2012.

12. Halfon N, Larson K, Slusser W. Associations between obesity and comorbid mental health, developmental, and physical health conditions in a nationally representative sample of US children aged 10 to 17. Acad Pediatr 2013;13(1):6-13.

13. Wilson WJ. The Declining significance of race: Revisited & revised. Tercera edisión. Londres: The University of Chicago Press; 2012; p.283.

14. Elmelech Y. Determinants of intragroup wealth inequality among whites, blacks & Latinos. Wealth accumulation and communities of color in the United States: Current issues. Ann Arbor: The University of Michigan Press; 2006.

15. Tiffin PA et al. Modelling the relationship between obesity and mental health in children and adolescents: findings from the Health Survey for England 2007. Child Adolesc Psychiatry Ment Health 2011;5:31.

16. Mustillo S et al. Obesity and psychiatric disorder: developmental trajectories. Pediatrics 2003;111(4 Pt 1):851-859.

17. Wardle J, Cooke L. The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab 2005;19(3):421-440.

18. Drukker M et al. A community study of psychosocial functioning and weight in young children and adolescents. Int J Pediatr Obes 2009;4(2):91-97.

19. Viner RM et al. Body mass, weight control behaviours, weight perception and emotional well being in a multiethnic sample of early adolescents. Int J Obes (Lond) 2006;30(10):1514-1521.

20. De la Cruz-Sanchez E et al. Sedentarismo, obesidad y salud mental en la población española de 4 a 15 años de edad. Rev Española Salud Pública 2011;julio-agosto: 373-382.

21. Banis HT et al. Psychological and social adjustment of obese children and their families. Child Care Health Dev 1988;14(3):157-173.

22. Perea-Martinez A et al. Obesidad y comorbilidades en niños y adolescentes asistidos en el Instituto Nacional de Pediatría. Acta Pediátrica México 2009;30(3):167-174.

23. Onyike CU et al. Is obesity associated with major depression? Results from the Third National Health and Nutrition Examination Survey. American J Epidemiology 2003;158(12):1139-1147.

24. Borges G et al. Body mass index and its relationship to mental disorders in the Mexican Adolescent Mental Health Survey. Salud Pública México 2010;52(2):103-110.

25. Brewis A. Biocultural aspects of obesity in young Mexican schoolchildren. Am J Hum Biol 2003;15(3):446-460.

26. Achenbach TM, R LA. Manual for the ASEBA Preschool and School- Age forms and Profiles. Burlington, VT: University of Vermont, Department of Psychiatry; 2001.

27. Leiner M et al. Psychometric comparisons of the Pictorial Child Behavior Checklist with the standard version of the instrument. Psychol Assess 2010;22(3): 618-627.

28. Ang RP et al. Examining the criterion validity of CBCL and TRF problem scales and items in a large Singapore sample. Child Psychiatry Human Development 2012;43(1): 70-86.

29. Buchalter D. Differences between children with ASDs, their non- ASD siblings, and the CBCL normative sample based on CBCL profile scores. Houston: University of Houston; 2011.

30. Patriquin MA et al. Broad implications for respiratory sinus arrhythmia development: Associations with childhood symptoms of psychopathology in a community sample. Developmental Psychobiology 2015;57(1):120-130.

31. Cohen J. Statistical power analysis for the behavioral sciences. Segunda edición. New York: Academic Press; 1988.

32. Singh GK et al. Dramatic increases in obesity and overweight prevalence and body mass index among ethnic-immigrant and social class groups in the United States, 1976-2008. J Community Health 2011;36(1):94-110.

33. Anda R et al. Adverse childhood experiences and frequent headaches in adults. Headache: J Head Face Pain 2010;50(9):1473-1481.

34. Skelton JA et al. Prevalence and trends of severe obesity among US children and adolescents. Acad Pediatr 2009;9(5):322-329.

35. Shackleton N, Hale D, Viner RM. Trends and socioeconomic disparities in preadolescent’s health in the UK: evidence from two birth cohorts 32 years apart. J Epidemiol Community Health 2016;70(2):140- 146.

36. Falconer CL et al. Can the relationship between ethnicity and obesity- related behaviours among school-aged children be explained by deprivation? A cross-sectional study. BMJ Open 2014;4(1):e003949.

37. Zilanawala A et al. Race/ethnic disparities in early childhood BMI, obesity and overweight in the United Kingdom and United States. Int J Obes (Lond) 2015;39(3):520-529.

38. Darmon N, Drewnowski A. Does social class predict diet quality? American J Clinical Nutrition 2008;87(5):1107-1117.